Non-urgent advice: The ICB Medicines Sub-Committee
The NENC Integrated Care System now has one governance procedure through the ICB Medicines Sub-Committee. This is supported by Northern Treatment Advisory Group (NTAG) and its subgroups. Until guidance can be reviewed by the ICB Medicines Sub-Committee and its sub-groups all guidance and agreements previously approved by the predecessor three Area Prescribing Committees (APCs) of County Durham & Tees Valley; North of Tyne, Gateshead & North Cumbria; and South Tyneside & Sunderland are still valid whilst within their review date. Clinicians referring to this guidance after any expiry date should exercise caution. ICB approved prescribing guidance and agreements will be hosted on the NTAG website moving forward and this is available publicly at https://ntag.nhs.uk/ .
Guidance approved and endorsed by the North of Tyne, Gateshead and North Cumbria Area Prescribing Committee (NoTGhdNC APC) and applicable to North Cumbria will continue to be posted on the NoTGhdNC APC website.
Formulary
From 1st January 2019 all patient prescribing across North Cumbria followed the North of Tyne, Gateshead and North Cumbria formulary. This has been superseded by the North East and North Cumbria ICS Formulary:
North of Tyne and North Cumbria brand name prescribing guidance (1681 downloads )North Cumbria MOC Prescription Pad Newsletter
- Prescription Pad Newsletter No.1 August 2019 (776 downloads )
- Prescription Pad Newsletter No.2 Oct 2019 (721 downloads )
- Prescription Pad Newsletter No.3 Dec 2019 (653 downloads )
- Prescription Pad Newsletter No.4 Feb 2020 (618 downloads )
- Prescription Pad Newsletter No.5 July 2021 (315 downloads )
- Prescription Pad Newsletter No.6 Jan 2022 (333 downloads )
Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (614 downloads )
- Proton Pump Inhibitors Key Messages (1385 downloads )
Cardiovascular system
- Anticoagulation Decision Support Tool June 16 (2451 downloads )
- Cardiovascular workplan 2022 (1773 downloads )
- NCIC Metolazone prescribing and monitoring guideline Dec 2019 (790 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (520 downloads )
- North Cumbria anticoagulation guideline 2022 (630 downloads )
Respiratory system
- Adults doses of inhaled corticosteroids - June 19 (1001 downloads )
- COPD Inhaler Decision Tool - North Cumbria (4548 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (1433 downloads )
- Management of acute exacerbation of COPD - North Cumbria (1167 downloads )
- North Cumbria Asthma Inhaler Decision Tool (1786 downloads )
- Paediatric Doses of inhaled corticosteroids - June 19 (1151 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (497 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (450 downloads )
- Atypical Antipsychotics Key Messages (1408 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (877 downloads )
- Buprenorphine Patch prescribing update June 2019 (840 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1229 downloads )
- Dosulepin Prescribing Guidance (1751 downloads )
- Fentanyl prescribing update June 2019 (756 downloads )
- Gabapentin & Pregabalin MO Key Messages (1650 downloads )
- Hypnotic Prescribing - Reducing and Stopping Detail Aid (3519 downloads )
- Hypnotics - Reducing and Stopping: A Practice Guide (1520 downloads )
- Hypnotics MO Key Messages (1218 downloads )
- Just In Case Medication - patient information leaflet (784 downloads )
- Just In Case Medication Sheet - North Cumbria (983 downloads )
- Just In Case meds- SOP - North Cumbria (798 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (853 downloads )
- Just In Case Syringe Driver patient leaflet (746 downloads )
- Lidocaine Patches MO Key Messages (1489 downloads )
- NSAIDs Key Messages (1652 downloads )
- Oxycodone Key Messages (1366 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (673 downloads )
- STOMP STAMP key messages (788 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (261 downloads )
- Prescribing for UTI's MO Key Messages (1814 downloads )
- Prescribing of Co-amoxiclav, Cephalosporins & Quinolones Key Messages (1412 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6586 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (880 downloads )
Diabetes
- Blood Glucose Testing Strips MO Key Messages (1470 downloads )
- Guidelines on Self Monitoring of Blood Glucose (SMBG) (1746 downloads )
- North Cumbria Blood Glucose Testing Strips Implementation Guide - Sept 2019 (799 downloads )
Other endocrine
Obstetrics, gynaecology and urinary tract
- Oral Contraceptives and Acne (1752 downloads )
- PDE5 Inhibitors Prescribing Guidance (1432 downloads )
- Treatment of Overactive Bladder (OAB) in Women (1704 downloads )
- UTI care home assessment tool "to dip or not to dip" Dec 2018 (824 downloads )
Nutrition and blood
- Managing unintentional weight loss in adults guidelines and the appropriate prescribing of oral nutritional supplements (ONS) for adults in primary care. (1136 downloads )
- Managing unintentional weight loss in adults quick reference guide - North Cumbria (912 downloads )
- Sip Feeds MO Key Messages (854 downloads )
- Thickeners - Key Safety Messages (207 downloads )
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (1706 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (2574 downloads )
- Ciclosporin SCG Oct 2015 (1429 downloads )
- Dapsone SCG April 2016 (1296 downloads )
- Disulfram SCG (1036 downloads )
- Enoxaparin SCG May 2016 (10962 downloads )
- Hydroxycarbamide Dermatology SCG (1018 downloads )
- Hydroxycarbamide Haematology SCG (1221 downloads )
- Leflunomide SCG November 2015 (1514 downloads )
- LHRH analogues for prostate cancer SCG (976 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2281 downloads )
- Mycophenolate SCG June 2016 (1801 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (520 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3483 downloads )
- Sulfasalazine_SCG (505 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (265 downloads )
- NTAG Guidance (2355 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (1904 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (567 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (976 downloads )
- Model Repeat Prescribing System (4343 downloads )
- Non Medical Prescribing Annual Declaration (636 downloads )
- Non Medical Prescribing Reflection (599 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (744 downloads )
- Practice Annual Non Medical Prescribing Declaration (611 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (587 downloads )
- Security of prescription forms (1180 downloads )
- What to do when Prescribers join or leave (388 downloads )